WQ0036630_Application (FTSE)_20130703

O Owner of Wastewater Treatment Facility (WVVfF) Treating Wastewater From This Project
A. r:rnss Creek WWTF
FOR SECURITY PURPOSES. THE FACE OF THIS DOCUMENT CONTAINS A COLORED BACKO46. WWTF PPermitNNo.©NCg0023957
ROU
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RINTING
THE
4D SITE SOLUTIONS, INC
409 CHICAGO DRIVE
SUITE 112
FAYETTEVILLE, NC 28306
re
O 1 d. 3876 Dun Road le. Eastover
LLZ Mailing Address City
1f. North Carolina lg. 28312
Z State Zip Code
O 1h. 910-229-3716 li. 910-229-3724 1j. [e-mail]
I— Telephone Facsimile E-mail
✓ 2. Proiect (Facility) Information:
J 2a. Lexington Woods 2b. Cumberland
d Brief Project Name (permit will refer to this name) County Where Project is Located
Q 3. Contact Person:
Q 3a. Scott Brown, PE — Civil Engineer for project
Name and Affiliation of Someone Who Can Answer Questions About this Application
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
1. Owner/Permittee:
la. Eastover Sanitary District
Full Legal Name (company, municipality, HOA, utility, etc.)
Application Number:
(to be completed by DWQ)
-DENR-ERC
JULA -- 2013
O 1 b. Morgan Johnson - Chairman
Signing Official Name and Title (Please review 15A NCAC 2T 0106 (b) for authorized signing officials)
Llc. The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County ❑ Private Partnership ❑ Corporation ❑ Other (specify):
3b. 910-426-6777 ext 102
Phone Number
3c. sbrown©4dsitesolutions.com
E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
2b. If sold, facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
Z 3. Public Works Commission of Fayetteville
PAY
TO THE
ORDER OF NCDENR
Four Hundred Eighty and 00/100
NCDENR
FAYETTEVILLE, NORTH CAROLINA
66-11 J531
MEMO
678-Lexington Woods NCDENR se
permit review
SECURITY FEATURES INCLUDED. DETAILS ON BACK
l'
7/2/13
$ "480.00
A THORIZED SIGNATURE
64135
DOLLARS

W ATF
/9Q G OENR—FROo State of North Carolina
Department of Environment and Natural Resources
r - Division of Water Quality
-I
'CC FAST -TRACK APPLICATION (FTA 12-12)
OWQ for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
General - When submitting this application, please use the following instructions as a checklist in order to
ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will
help produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted, the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 6).
A. Cover Letter:
• Include a brief project narrative describing the final design (i.e system and/or pump station to ultimately
serve 500 homes, but flow for only 100 homes being requested now). For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 12-12):
El Submit the completed and appropriately executed Fast -Track (FTA 12-12) Application. Any
unauthorized content changes to this form shall result in the application being returned. If necessary
for clarity or due to space restrictions, attachment to the application may be made, as long as the
attachments are numbered to correspond to the section and item to which they refer. You do not need
to submit detailed plans and specifications unless you respond NO to item B(13).
• The Professional Engineer's Certification of the application shall be signed, sealed and dated by a
North Carolina licensed Professional Engineer.
® The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
➢ Checks shall be dated within 90 days of application submittal.
D. Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to
hold the utility franchise for the area to be served by the sewer extension, or
❑ Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area or that franchise approval is expected.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (FORM: HOA).
❑ Per 15A NCAC 02T .0115(c), submit the proposed or approved Articles of Incorporation, Declarations
and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV).
Even if the project may be turned over to a municipality upon completion, Form DEV 12-12 is required.

F. • Downstream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 06/13)
• Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension
Permit (FTSE 06/13) Form for all applications.
> The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 06/13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving wastewater treatment plant.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 06/13
from the owner of the downstream sewer and owner of the WWTF, if different.
> The flow acceptance indicated in form FTSE-06/13 must not expire prior to permit issuance and must
be dated less than one year prior to the application date.
> Submittal of this application and form FTSE-06/13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -
specific FTSE-06/13.
F. Site Map (All Application Packages):
• Submit an 8.5-inch x 11-inch color copy of a USGS Topographic Map of sufficient scale to identify the
entire project area and closest surface waters. Each map must include at a minimum:
➢ The location of the sewer line and pump stations and be of reproducible quality.
➢ Downstream connection points and the permit number for the receiving sewer (if known)
> Pump Station Locations and the longitude and latitude for each pump station (if applicable)
❑ Include a street level map showing all relevant project areas.
G. Stream Classification (WSCAS 12-12)
® Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 12-12) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
> A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T .0305(f)
H. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
> Projects involving an Environmental Assessment per 15A NCAC 01 C .0408 or are funded through the
Division's Infrastructure Finance Section (IFS) must be submitted for a full technical review and must be
submitted to the IFS on application forms provided by the Division.
I. Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the Division's
Infrastructure Finance Section (IFS) on application forms provided by the Division.
J. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
K. Certifications — Section C
> The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in
Item A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter
2T The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.

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USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
1. Owner/Pennittee:
la. Eastover Sanitary District
Full Legal Name (company, municipality, HOA, utility, etc.)
1 b. Morgan Johnson - Chairman
Application Number: � �
(to be completed by DWQ) (/4� Q.0D3 ( (2 30
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
lc. The legal entity who will own this system is:
❑ Individual ❑ Federal ® Municipality ❑ State/County El Private Partnership ❑ Corporation ❑ Other (specify):
1 d. 3876 Dun Road
le. Eastover
Mailing Address City
If. North Carolina lg. 28312
State Zip Code
1h. 910-229-3716 li. 910-229-3724 1j. [e-mail]
Telephone
Facsimile E-mail
2. Project (Facility) Information:
2a. Lexington Woods
Brief Project Name (permit will refer to this name)
3. Contact Person:
3a. Scott Brown, PE — Civil Engineer for project
2b. Cumberland
County Where Project is Located
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b. 910-426-6777 ext 102 3c. [e-mail]
Phone Number E-mail
1. Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
2. Owner is ® Public (skip to Item B(3)) ❑ Private (go to Item 2(a))
2a. If private, applicant will be:
❑ Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(26))
3. Public Works Commission of Fayetteville
2b. If sold facilities owned by a (must choose one)
❑ Public Utility (Instruction D)
❑ Homeowner Assoc./Developer (Instruction E)
Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
4a. Cross Creek WWTF
Name of WWTF 4b. WWTF Permit No. NC 0023957
5a. Eastover Sanitary District 6b. G8", 12" El Gravity 5c. PWC2007-W033
Owner of Downstream Sewer teceiving Sewer Size p Force Main
6. The origin of this wastewater is (check all that apply):
® Residential Subdivision
❑ Apartments/Condominiums
❑ Mobile Home Park
❑ School
❑ Restaurant
❑ Office
Permit # of Downstream Sewer (Instruction F)
❑ Retail (Stores, shopping centers)
❑ Institution
❑ Hospital
❑ Church
❑ Nursing Home
❑ Other (specify):
7. Volume of wastewater to be allocated or permitted for this particular project: 112,920
*Do not include future flows or previously permitted allocations
8. If the permitted flow is zero, indicate why:
100% Domestic/Commercial
% Industrial
(Attach Description)
% Other
(Attach Description)
gallons per day
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)

9. Provide the wastewater flow calculations used in determining the permitted flow in accordance with 15A NCAC 2T .0114 for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in j
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
188 lots * 480 gpd + 63 lots * 360 gpd = 112,920 gpd
10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches)
8"
6"
W
Z
Length (feet)
14,502
2,773
New Gravity or Additional
Force Main
gravity
Force main
- 11. Summary of Pump Stations w/ associated Force Mains to be Permitted (attach additional sheets as necessary)
Z
O Pump Station Location ID: (self chosen - as shown on plans/map for reference)
0
Longitude: Latitude:
Z
0
1-
2
0
Z
• Longitude: Latitude:
Design Flow Power Reliability Option
(MGD) Operational Point 1 - permanent generator w/ATS; Force Main Size
GPM @TDH 2 - portable generator w/MTS
Force Main Length
Pump Station Location ID: (self chosen - as shown on plans/map for reference)
CC
W G. Design Flow
Operational Point Power Reliability Option
(MGD) GPM @TDH 1 - permanent generator w/ATS; Force Main Size Force Main Length
m2 - portable generator w/MTS
12. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
❑ Yes ® No If Yes, permit number of 2nd treatment facility :
(RO — if "yes" to B,12 please contact the Central Office PERCS Unit)
13. Does the sewer system comply with the Minimum Design Criteria for the Permitting of Pump Stations and Force Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
® Yes ❑ No If No, please reference the pertinent minimum design criteria or regulation and indicate why a
variance is requested. SUBMIT TWO COPIES OF PLANS, SPECIFICATIONS OR CALCULATIONS
PERTINENT TO THE VARIANCE WITH YOUR APPLICATION

14. 'Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ® Yes ❑ No
Sedimentation and Erosion Control Plan? ® Yes
Trout Buffer Waiver? ❑ Yes
Stormwater? ® Yes
❑ No
❑ No
❑ No
❑ N/A
❑ N/A
® N/A
❑ N/A
15. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
Check if Yes: ❑ and provide details:
1. Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
1, Morgan Johnson, attest that this application for Lexington Woods has been reviewed by me and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting documentation and attachments are not included, this application package is subject to being
retumed as incomplete. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-215.6B, any
person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a
Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per
violation.
la. / jl c"-+ cr ti�
Signing Official ignature
Z4J 'Z s
Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
Cl) TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
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2. Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
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1, C. Scott Brown, PE ,attest that this application for Lexington Woods has been reviewed by me and is accurate,
complete and consistent with the information in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed design has
been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers
adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force
Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance. Although other
professionals may have developed certain portions of this submittal package, inclusion of these materials under my
signature and seal signifies that / have reviewed this material and have judged it to be consistent with the proposed
design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes
any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may
include a fine not to exceed $10, 000 as well as civil penalties up to $25,000 per violation.
2a. C. Scott Brown, PE
Professional Engineer Name
2b. 4D Site Solutions, Inc
Engineering Firm
2c. 409 Chicago Drive, Suite 112
Mailing Address
2d. Fayetteville
City
2g. 910-426-6777
2h. 910-426-5777
Telephone Facsimile
2e. NC 2f. 28306
State Zip
2i. [e-mail]
E-mail
027452
p '•.FHG I E��'• 1�; �.
-,score ePp6_ZA-13
NC PE Seal, Signature & Date

THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION (ORIGINAL AND COPY) SHALL BE
SUBMITTED TO THE APPROPRIATE REGIONAL OFFCE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778
[phone]
[phone] Fax
Avery, Buncombe, Burke, Caldwell, Cherokee,
Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Fayetteville, North Carolina 28301-5094
[phone]
[phone] Fax
Anson, Bladen, Cumberland, Hamett, Hoke,
Montgomery, Moore, Robeson, Richmond,
Sampson, Scotland
Mooresville Regional Office
610 E. Center Avenue
Mooresville, North Carolina 28115
[phone]
[phone] Fax
Alexander, Cabarrus, Catawba, Cleveland,
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
Stanly, Union
Raleigh Regional Office
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
[phone]
[phone] Fax
Chatham, Durham, Edgecombe, Franklin,
Granville, Halifax, Johnston, Lee, Nash,
Northampton, Orange, Person, Vance, Wake,
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889
[phone]
[phone] Fax
Beaufort, Bertie, Camden, Chowan, Craven,
Currituck, Dare, Gates, Greene, Hertford, Hyde,
Jones, Lenoir, Martin, Pamlico, Pasquotank,
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
[phone] Fax
Brunswick, Carteret, Columbus, Duplin, New
Hanover, Onslow, Pender
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
[phone] Fax
Alamance, Alleghany, Ashe, Caswell, Davidson,
Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin

dD SITE
ooLuTioNS, INC.
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CONATRUCTION
LAYOUT
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409 CIJICAGO
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SUITL 112
FAYLTTLVILLL
Nc28306
P11ONL
910 426-6777
FAx
910 426-5777
July 2, 2013
NCDENR
Fayetteville Regional Office
Attn: Trent Allen
225 Green Street, Suite 714
Fayetteville, NC 28301
OENR-FRO
JUL 0 ' 2013
r)wQ
RE: Sewer Application, Lexington Woods, Cumberland County, North Carolina
Trent;
Attached is the sanitary sewer application package for the Lexington Woods Subdivision. A check
for the $480 review fee is also enclosed. The sewer system will be owned by Eastover Sanitary
District, and the sewer will be treated by PWC. The project is a new 251 lot single family
subdivision that will be serviced by an existing lift station. The existing force main will be upsized
from a 4" force main to a 6" force main. The impellers for the existing pumps will also be modified
for the additional flow.
I look forward to working with you on this project. If you have any questions or concerns, please
feel free to contact us.
Sincerely,
4D Site Solutions Inc.
Sc btt Brown, PE
[e-mail]
Enclosure

WILSON A. LACY, COMMISSIONER PUBLIC WORKS COMMISSION 955 OLD WILMINGTON RD
MICHAEL G. LALLIER, COMMISSIONER P.O. BOX 1089
WICK SMITH, COMMISSIONER OF THE CITY OF FAYETTEVILLE FAYETTEVILLE, NORTH CAROLINA 28302-1089
LYNNE B. GREENE, COMMISSIONER TELEPHONE [phone]
STEVEN K. BLANCHARD, CEO/GENERAL MANAGER ELECTRIC & WATER UTILITIES WWW.FAYPWC.COM
July 1, 2013
TO WHOM IT MAY CONCERN:
SUBJECT: Flow Acceptance
This letter is in response to the inquiry regarding the availability of sanitary sewer to
serve the proposed Lexington Woods project, located in the Eastover Sanitary District.
The Eastover Sanitary District has submitted a permit application for public sewer on this
project. The Public Works Commission has an agreement with the Eastover Sanitary
District to accept and treat sanitary sewer from the Eastover Sanitary District. The
sewage and wastewater collected by this system shall be treated in the Fayetteville Public
Works Commission Cross Creek Wastewater Treatment Facility (NPDES Permit No.
NC0023957), prior to being discharged into the receiving stream. The projected flow for
this development is 112,920 gallons per day. The Cross Creek Facility has the capacity
to accept the flow generated by this project.
If you have any questions concerning this letter, please call me at [phone].
Very truly yours,
PUBLIC WORKS COMMISSION
C
J • seph E. Glass, P.E.
Water Resources Engineering Manager
cc: Project File
BUILDING COMMUNITY CONNECTIONS SINCE 1905
AN EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE —10/07)
Project Applicant Name: Eastover Sanitary District
Project Name for which flow is being requested: Lexington Woods
More than one FTSE-10/07 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Cross Creek Wastewater Treatment Facility
b. WWTP Facility Permit #: NPDES NC0023957
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
25.0
1.747
10.9
0.113
12.760
51.04%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name
LS#33 — Cargill_
Approx. Capacity, MGD
(Firm/Design)
.684
Approx. Current Avg.
Daily Flow, MGD
.423
III. Certification Statement:
I, Joseph. E. Glass , certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plain under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and II for which I am the responsible party. Signature of this form indicates
ace Ice of th. rtew r low.
` 2—iCA —a
Si - / ng (. ficial Signature Dale

FORM WSCAS-12/07
WATERSHED CLASSIFICATION ATTACHMENT
FOR SEWER SYSTEMS
Applicant Name
Project Name
Eastover Sanitary District
Lexington Woods
Professional Engineer Name
Engineering Firm Name
C. Scott Brown
4D Site Solutions, Inc
Location
ID
Name of Waterbody'
County
River
Basin
Waterbody Stream
Index No.
Waterbody
Classification
1
Gum Log Canal
Cumberland
Cape Fear
18-28-1
C
If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.
1 certify that as a Registered Professional Engineer in the State of
North Carolina that I have diligently followed the Division's instructions
for classifying waterbodies and that the above classifications are
inclusive of the stated project, complete and correct to the best of my
knowledge and belief.
PE Seal, Signature and Date ►
*** END OF FORM WSCAS-12/07 ***
FORM: WSCAS-12/07
Page 1 of 1

0

Permit Number 10011Q00366301
Central Files: APS SWP
07/17/13
Permit Tracking Slip
Program Category
Non -discharge
Status Project Type
Active New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer 1.00 Individual
Extensions
Primary Reviewer Permit Contact Affiliation
trent.allen
Coastal SW Rule
Permitted Flow
112920
Facility
Facility Name
Lexington Woods Subdivision
Location Address
Owner
Owner Name
Eastover Sanitary District
Dates/Events
Major/Minor Region
Minor Fayetteville
County
Cumberland
Facility Contact Affiliation
Owner Type
Unknown
Owner Affiliation
Morgan Johnson
Chairman
1610 Beard Rd
Wade
NC 28395
Orig Issue
07/17/13
App Received Draft Initiated
07/03/13
Scheduled
Issuance
Public Notice
Issue
Regulated Activities Requested/Received Events
Wastewater collection Additional information requested
Additional information received
Outfall NULL
Effective
07/17/13
Expiration
07/10/13
07/16/13
Waterbody Name
Stream Index Number Current Class Subbasin